肝素钠冲管对危重症患儿股静脉留置针效果比较
李艺珍 1曾丽丽1
作者信息
- 1. 福建医科大学附属漳州市医院 363000
- 折叠
摘要
目的：探讨肝素钠冲管对危重症患儿股静脉留置针效果的影响。方法：将68例危重症患儿随机分为肝素钠组（31例）与对照组（37例）。肝素钠组给予10U/ml肝素钠生理盐水冲管后再进行股静脉留置针穿刺，对照组给予常规方法进行股静脉留置针穿刺。观察两组患儿股静脉留置针一次穿刺成功率及肢体肿胀发生率。结果：一次穿刺成功率肝素钠组为87%(27/31)，对照组为75%（28/37）；肢体肿胀发生率肝素钠组为3%（2/31），对照组为24%(9/37)。统计分析显示两组之间一次穿刺成功率无显著性差异(P=0.2329)，肢体肿胀发生率存在显著性差异（P＜0.05）。结论：肝素钠冲管可减少危重症患儿股静脉留置针穿刺后肢体肿胀发生率。
Abstract
Objectives:To evaluate the effect of heparin sodium flushing on femoral venous catheterization in critical y il children. Methods:68 critical y il children were randomly divided into the heparin sodium group (n=31)and the control group (n=37) . A 10U/ml heparin sodium flushing before femoral venous catheterization was performed in the heparin sodium group, while a routine method of femoral venous catheterization in the control group. The success rate of the first puncture of femoral venous catheter and the incidence of limb swel ing in two groups were measured. Results:The success rate of the first puncture was 87%(27/31) in the heparin sodium group, and 75% (28/37)in the control group. The incidence of limb swel ing was 3% (2/31) in the heparin sodium group, while 24%(9/37) in the control group. There was a significant difference in the incidence of limb swel ing between the two groups (P<0.05), while no significant dif-ference in the success rate of the first puncture (P=0.2329). Conclusions:The heparin sodium flushing may reduce the limb swel ing after femoral venous catheter-ization in critical y il children.
关键词
危重症患儿/肝素钠冲管/股静脉/留置针/穿刺方法Key words
Critical y il children/Heparin sodium flushing/Femoral vein/catheter/Puncture method引用本文复制引用
出版年
2015
NETL
NSTL
万方数据